CAJ | 학술논문

目的：评价静脉腔内激光术治疗大隐静脉曲张的临床价值。方法回顾2009年8月至2013年9月间有症状的100例（103条肢体）接受静脉腔内激光术的患者(激光组)与同期90（100条肢体）分段抽剥术患者（抽剥组）的随访资料，比较两组患者术后深静脉血栓形成、神经损伤、症状改善、复发，恢复正常活动时间等。结果：两组患者在术后深静脉血栓形成无显著差异( P>0.05)，静脉腔内激光术后神经损伤发生率低( P<0.05)、症状改善明显( P<0.05)、恢复正常活动时间短( P<0.05)，但静脉腔内激光术后复发比率较抽剥术高( P<0.05)。结论：静脉腔内激光术治疗大隐静脉曲张术后恢复快、并发症发生率低，但有一定的复发率。
목적：평개정맥강내격광술치료대은정맥곡장적림상개치。방법회고2009년8월지2013년9월간유증상적100례（103조지체）접수정맥강내격광술적환자(격광조)여동기90（100조지체）분단추박술환자（추박조）적수방자료，비교량조환자술후심정맥혈전형성、신경손상、증상개선、복발，회복정상활동시간등。결과：량조환자재술후심정맥혈전형성무현저차이( P>0.05)，정맥강내격광술후신경손상발생솔저( P<0.05)、증상개선명현( P<0.05)、회복정상활동시간단( P<0.05)，단정맥강내격광술후복발비솔교추박술고( P<0.05)。결론：정맥강내격광술치료대은정맥곡장술후회복쾌、병발증발생솔저，단유일정적복발솔。
Objective To evaluate the clinical value of EVLT treatment of saphenous varicose veins. Methods between August 2009 to September 2013 100 patients with symptomatic patients (103 limbs) received endovenous laser surgery (laser group) with the same period 90 (100 limbs) segmentation and stripping surgery patients (pumping stripping group) fol ow-up data, after comparing the two groups of patients with deep vein thrombosis, nerve damage, symptoms, recurrence, time to resume normal activities. Results: The two groups were formed in the postoperative deep vein thrombosis was no significant difference(P>0.05), endovenous laser low incidence of postoperative nerve damage(P<0.05), symptoms improved significantly(P<0.05), resume normal activities a short time(P<0.05), but endovenous laser pumping recurrence rate than stripping surgery is high(P<0.05). Conclusion: Endovenous laser treatment of great saphenous vein rapid postoperative recovery, low complication rate, but there are certain recurrence rate.